| Upmc Behavioral Health Of The Alleghenies | |
|
500 E Chestnut Ave Center For Counseling Altoona PA 16601-5215 | |
| (814) 943-0414 | |
| (814) 943-6198 |
| Full Name | Upmc Behavioral Health Of The Alleghenies |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 500 E Chestnut Ave, Altoona, Pennsylvania |
| Authorized Official Name and Position | Mark Chuff (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8149407457 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Upmc Behavioral Health Of The Alleghenies 500 E Chestnut Ave Altoona PA 16601-5215 Ph: (412) 246-5050 | Upmc Behavioral Health Of The Alleghenies 500 E Chestnut Ave Center For Counseling Altoona PA 16601-5215 Ph: (814) 943-0414 |
| NPI Number | 1063587103 |
|---|---|
| Provider Enumeration Date | 11/22/2006 |
| Last Update Date | 10/29/2018 |
| Medicare PECOS PAC ID | 6103733068 |
|---|---|
| Medicare Enrollment ID | O20110110000792 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063587103 | NPI | - | NPPES |
| 114514 | Other | PA | VALUE OPTIONS |
| 263087 | Other | PA | HIGHMARK & PA BLUE SHIELD |
| 311650 | Other | PA | STATE LICENSE |
| 1000007650025 | Medicaid | PA | |
| 1652320 | Other | PA | HIGHMARK BLUE CARD |
| Provider Name | Joseph Antonowicz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265480834 PECOS PAC ID: 7719961168 Enrollment ID: I20050908000439 |
| Provider Name | Brian Garrett Rockower |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225062508 PECOS PAC ID: 1052315314 Enrollment ID: I20060830000004 |
| Provider Name | Jaspreet Singh Bains |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588003826 PECOS PAC ID: 8426284985 Enrollment ID: I20131112001041 |
| Provider Name | Carolyn D Brumbaugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477677367 PECOS PAC ID: 9234362997 Enrollment ID: I20140502001342 |
| Provider Name | Madhavi Kandel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831410687 PECOS PAC ID: 1951541077 Enrollment ID: I20151104001295 |
| Provider Name | Ali Nelson Canton Vafabakhsh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578857595 PECOS PAC ID: 8628210754 Enrollment ID: I20161028000866 |
| Provider Name | Jill Duclos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417441502 PECOS PAC ID: 1557768256 Enrollment ID: I20210922003712 |
| Provider Name | Bruce K Miewald |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467528984 PECOS PAC ID: 3274616933 Enrollment ID: I20220126000066 |
| Provider Name | Larry Breedlove |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326179474 PECOS PAC ID: 3577931567 Enrollment ID: I20221123000034 |
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